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Male genitoplasty for intersex disorders
Shilpa Sharma1, Devendra K Gupta
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
Advances in Urology
|November 15, 2008
Summary
Male genitoplasty for intersex disorders often involves hypospadias with severe chordee, necessitating early correction and staged urethroplasty for optimal cosmetic and functional outcomes.
Area of Science:
- Pediatric Surgery
- Urology
- Endocrinology
Background:
- Intersex disorders present complex challenges in surgical management.
- Male genitoplasty aims to correct anatomical abnormalities and ensure functional outcomes.
Purpose of the Study:
- To evaluate surgical procedures for male genitoplasty in intersex patients.
- To analyze outcomes and complications associated with hypospadias repair.
Main Methods:
- Retrospective case record review of intersex patients undergoing male genitoplasty.
- Analysis of surgical techniques, including urethroplasty and chordee correction.
Main Results:
- Hypospadias was common, frequently associated with severe chordee.
- Complications included fistula, stricture, and recurrent infections.
- Staged urethroplasty and early chordee correction were crucial.
Conclusions:
- Early chordee correction is vital for phallic growth in intersex disorders.
- Multiple surgical interventions are often required for satisfactory cosmetic and functional results.
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